Hirooka Nobutaka, Lapp Daniel P
University of Pittsburgh Family Medicine, Faculty Development Fellowship (UPMC Shadyside), Pittsburgh, Pennsylvania, USA.
BMJ Case Rep. 2012 May 8;2012:bcr1220115289. doi: 10.1136/bcr.12.2011.5289.
This case, as an important clinical reminder, will illustrate improvement of a patient's quality of life and care in chronic diseases through sexual history taking in the primary care setting. The case report also includes recommended investigation for erectile dysfunction (ED). Family physicians need to maintain awareness of sexual dysfunction as part of the history taking during a general medical investigation to avoid leaving sexual issues untreated including ED. If left untreated, ED can lead to psychological trauma, frustration and lower self-esteem. Additionally, ED is associated with major comorbidities such as cardiovascular disease, hypertension, dyslipidaemia, psychological conditions and diabetes mellitus. Thus, appropriately identifying this medical condition may lead prompt diagnoses and treatment of other major diseases.
本病例作为一个重要的临床提示,将说明在基层医疗环境中通过询问性病史改善慢性病患者的生活质量和护理情况。该病例报告还包括对勃起功能障碍(ED)的推荐检查。家庭医生在一般医学检查过程中,需要在病史采集中意识到性功能障碍问题,以避免包括ED在内的性问题得不到治疗。如果不进行治疗,ED会导致心理创伤、沮丧和自尊心下降。此外,ED与心血管疾病、高血压、血脂异常、心理疾病和糖尿病等主要合并症有关。因此,正确识别这种病症可能会促使对其他重大疾病的及时诊断和治疗。